Oko Okufanele Ukwazi Ngomsila Wentambo

Ukuba wena okanye othandekayo uye watshelwa ukuba unomgca wesipelini, ungenakukwazi ukuba ungalindela ntoni. Uninzi lwabantu aluzange luve ngeentambo zomgogodla ezingaphambanga. Nangona uninzi lwezibetho zichaphazela ingqondo, kukho imivimbo echaphazela intambo yomgogodla, kwaye kuthiwa yi-spinal cord ephazamisayo okanye i-spine infarcts.

Sibanzi

Umgudu ubeka i-akhawunti kuphela malunga neepesenti eziyi-1 zonke izibetho.

Iziphumo kunye nemiphumo yokukhupha umthunzi uyahluka. Oko bafana nabo bonke umonakalo wentambo yomgca obangelwa ukungabikho kokuphuma kwegazi ukuya kwintambo yomgudu okanye kummandla wentambo yomgogodla. Imiphumo yomgca wesipelomnci ixhomekeke kwiindawo ezingenasiphelo ngaphakathi kwintambo yomgogodla, indlela enobungozi obubi ngayo, kwaye nokuba nokuba umgogodla ungaphathwa ngokukhawuleza.

Uluphi ulwaphulo lwesigxina?

Intambo yomthambo, njengalowo nxalenye yomzimba, kufuneka ufumane igazi ukuze ufumane i-oxygen kunye nezondlo. I-oksijini kunye nezondlo zivumela ukuba umgudu ukusebenza kwaye uphile. Kukho imithana yegazi, ebizwa ngokuba yimibhobho yomthambo, ehambisa i-oxygen-rich riches-nutrient-rich to the spinal cord. Ukuba igazi lihamba ngeyodwa okanye ngaphezulu kwemibhobho yesipelini iphephazamisekile, ngoko ummandla wentambo yomgogodla ngokuqhelekileyo ufumana igazi kulo mkhumbi wegazi. Leyo yintambo yomgogodla, ebizwa ngokuba ngumgudu ongaphantsi.

Iyini Intambo yomthambo?

Intambo yakho yomgogodla ifakwe ngaphakathi kwesihlingo sakho (umqolo.) Intambo yakho yomgogodla isiteshini esisetyenzisiweyo esidibanisa imiyalezo phakathi kweendawo ezahlukeneyo zomzimba wakho kunye nengqondo yakho. Xa ufuna ukuhambisa esinye sezihlunu zakho, ubuchopho bakho buthumela imiyalezo ngokusebenzisa intambo yakho yomgudu kwaye emva kweemvini ezilawula loo msimba, kwaye ekugqibeleni uye kwi-muscle yakho, ukuze imisipha yakho ihambe.

Ngokufanayo, xa uvakalelwa kukuba unomzimba kumzimba wakho, iimbilini zesikhumba sakho zithumela imiyalezo ngokusebenzisa intambo yomgudu wakho kwintliziyo yakho ukuze ukwazi ukuqonda imizimba yakho.

Nayiphi na umonakalo ovela kumgca wesipelini ungathintela umthambo womnatha wokusebenza njengesikhululo sokusebenza esisebenzayo, ukuphazamisa ukuvakalelwa kwakho okanye ukunyakaza kwakho kwemisipha, okanye zombini.

Ziziphi iziphumo zeNcinci yeNtshontsho?

Ukuba unayo intambo yomgudu ongaphantsi, unokufumana impembelelo yengqondo engapheliyo ngenxa yoko. Iimiphumo ezithile zixhomekeke kwindawo yokugaya umgudu kunye nokuba lubuhlungu kangakanani.

Indawo yokuhlalisa umgudu ichazwa ngokuhambelana nokuphakama nobunzulu bomthambo womthambo. Indawo enye yendawo yomgogodla isekelwe kwinqanaba 'phezulu nangaphantsi' kwintambo yomgudu, ichazwa njengelinqanaba lomgca. Elinye iqela lendawo yomthi womthambo lixhomekeke kwindlela 'ekuphumeni okanye ngaphandle' kwentambo yomgogodla ukulimala, okuchazwa njengendlela yomgogodla.

Umgca weCordinal Level

Inqanaba lentambo yomthambo luchaza indlela ephakamileyo okanye ephantsi ngayo umgudu ongaphantsi kwintsholongwane, kwaye ephakamileyo umgca wesipelini, umonakalo omkhulu. Oku kuthetha ukuba xa ukuphelelwa komgogodla kuvela entanyeni, kwinqanaba lentambo yomlomo wesibeletho, ingxaki echaphazelayo iya kuthintela imisebenzi yomzimba apha nangaphantsi kwentamo.

Xa umgudu ongaphantsi komgogodla uvela emacaleni nasemacaleni emqolo, kwimimandla yentambo yomgcini we-thoracic kunye ne-lumbar, ke imisebenzi yomzimba kwimilenze kunye nendawo ephantsi yomzimba iya kuthinteka, kungekhona imisebenzi yomzimba kwiingalo nangaphezulu. iinxalenye zomzimba.

Umzila woMgcini

Intambo yomgudu ifakwe ngendlela efana ne-tube ethempyutheni eqinile, nangona akusiyo ingqungquthela epheleleyo, kwaye ayinamandla ngokupheleleyo. Ingxenye yomtya womthambo osondeleyo kumva wemisebenzi yokulawula umzimba, njengemvakalelo, kunye neengxenye zentambo yomgudu osondeleyo ngaphakathi kwimisebenzi yokulawula umzimba njengokuhamba.

Kwakhona, kwicala lesobunxele lomthambo wokulawula umgudu ulawula isigxina seso somzimba kunye nokunyakaza, ngelixa uhlangothi lwesigxina lomgca wokugcoba lulawula isahlulo sokuvakalelwa komzimba kunye nokunyakaza.

'Umsebenzi' othile wecandelo ngaphakathi kwintambo yomgogodla udla ngokuba ngumthi. Umngcipheko wesipelini unempembelelo eyahlukileyo kuye kuxhomekeke kukuphi na iphepheni elenzakalisiweyo kwaye nokuba ngaba i-infarct yathintela kwicala lokunene lomtya womgcini okanye umgca wesobunxele womtya womgcini, okanye zombini. Amanye amathambo omgulane abangela ingxaki ngevakalelo, ezinye zidala ingxaki ngamandla omzimba, ezinye zichaphazela kwicala lasekunene kwaye ezinye zichaphazela kwicala lasekhohlo. Uninzi lwamagqabi aluhlaza lubangele ukudibanisa kwezi ngxaki kuba umgogodla ongaphazamisiyo umonakalo ngokuqhelekileyo uwonakalisa ngaphezu kweyodwa umgudu womgca ngexesha.

Unyango

Unyango lwentambo yomgudu ongaphantsi lungabandakanya abagcini bamagazi xa igazi le-clot liyimbangela yomgudu ongaphantsi. Ezinye iinketho zonyango ezintsha zentambo yomgudu ongapheliyo zibandakanya igazi elinamandla elinamandla, njenge- tissue plasminogen activator (TPA) , kodwa kukho izifundo ezimbalwa zenzululwazi ezichaza ukuphumelela kwe-TPA kwisimo se-spinal infarct. Ukuba oogqirha bakho banokukuphatha ngethuba lexakeka le-TPA ngenxa yomgudu ongagqithanga, lo isigqibo esimele senziwe ngokukhawuleza ngokukhawuleza ukuphucula ukusebenza nokunciphisa iingxaki ezinobungozi, ezifana nokuphuma kwamanzi.

Ngamanye amaxesha, ukuphuma kwegazi yimbangela yecala lomngcwabo. Kwiimeko ezinjalo, ngokuqhelekileyo kubangelwa umthambo wesisu esiswini, kwaye utyando lungabonakaliswa, ngamanye amaxesha ngokukhawuleza.

Prognosis

Iindaba ezimbi kukuba intambo yomgogodla ongapheliyo ihlala iphumela kwiziphumo ezimbi kakhulu. Kukho izizathu ezimbalwa zezi:

Esinye sezimbangela ezinzulu zentambo yomgudu ongaphazamisayo, isisu esiswini esiswini, siyingozi kwaye sisongela ubomi obangela ukuba uphephe ngokukhawuleza kunye nokulahleka kwegazi. Zininzi zezimbangela zentambo yomgudu ongaphantsi kwezona zinto zihambelana nokukhathazeka okukhulu kunye nezinye izifo eziphambili, okwenza ukuba umlingo wesigxina uhlasele kunye nesinye isifo esibangela ukuba umgudu womgudu uphazamise umngeni omkhulu.

Esinye isizathu sokuthi intambo yomgudu ibangela ukuba iziphumo ezimbi kukuba umonakalo wentambo yomgogodla unzima kakhulu ukubuyela kuwo. Akunqabile ukungenelela kwezonyango ukuba 'ubuyisele' nawuphi na umsebenzi olahlekileyo ovela kumgca wesisu. Uninzi lwexesha, ukungenelela kwonyango lomonakalo wentambo yomgudu kuyindlela yokuthintela umonakalo owongezelelekileyo, ukubuyisela okanye ukulungisa umonakalo wentambo yomgcini.

Uphando olutsha ukufumana unyango lwezifo ezingenakunyanga ezifana nomonakalo wenthambo yomthambo lubandakanya uphando nge-neuroplasticity, ekulungiseni iimbasa ezonakalisiweyo kunye nophando kwi- stem ye-stem yonyango .

Izizathu

Kukho isibalo sezizathu zomgudu womgudu ongaphantsi. Le ngxaki ayibangelwa yintliziyo yesifo kunye ne-atherosclerosis, eziyizona zizathu eziqhelekileyo zokungabikho kwengqondo. Intambo yomgca ongapheliyo ingabangela ukuphuma kwegazi okanye iigazi zegazi kwelinye lemithambo yegazi yesisu, ngakumbi i-aorta esiswini. Ixinzelelo elibi kumzimba liyakwazi ukuphazamisa ukuhamba kwegazi kwintambo yomgogodla, okwenza intambo yomgudu ingabikho. Ezinye izizathu zentambo yomgudu ongapheliyo zibandakanya izifo, umhlaza, izifo zegazi kunye nesifo sokuzimela okanye ukuvuvukala. Ukuba wena okanye othandekayo uye waba ne-spinal infarct, ngoko oogqirha bakho baya kusebenza ngokukhawuleza ukuze bafumene isizathu kunye nokunyanga oko kubangangoko.

Ukujamelana

Ubomi emva komgca womgca ongezantsi ungadinga ukulungiswa kwezinto eziphambili. Ukuba wena okanye wakho umthandayo akanakho ukukhubazeka okukhulu ngenxa yesigxina somgogodla, i-key element yokubuyisela ibandakanya ukulawulwa kwezonyango ezibangela ukuba umgudu ungaphili. Ukuba unokukhubazeka okukhulu, unyango olwenziwe ngokwasemzimbeni kunye nokonyango olusebenzayo lunokukunceda ukwandise ubuchule bakho kwaye ufunde indlela yokugcina umzimba wakho unempilweni kwaye ukhuselekile kunokwenzeka. I-United Spinal Association kunye neChristopher kunye neDana Reeve Foundation iyingqungquthela yemibutho eyazinikezelwa ekuboneleleni ngezibonelelo kunye nokunceda abantu abaphila ngengozi yomgogodla.

> Imithombo:

> Koch M, Sepp D, Prothmann S, Poppert H, Seifert CL. I-thrombolysis yesistim kwi-anterior syndrome ye-arnetic syndrome: yintoni ekufuneka iqwalaselwe? J Thromb Thrombolysis . 2016; 41 (3): 511-3.

> Lee J, Lim YM, Kim KK. Iimeko zomgogodla intambo ye-infarction ebangelwa yi-polycythemia vera. Umqolo. 2015; Isongezelelo esingu-1: S19-21.

> Munyon CN, Hart DJ. Izifo ze-Vascular zomgudu. Neurologist . 2015; 19 (5): 121-7.

> Rabinstein AA. I-Vascular myelopathies. Continuum (Minneap Minn) . 2015; 21 (1 Spinal Cord Disorders): 67-83.

> Rigney L >, Cappelen-smith C, Sebire D, iBeran RG, iCordato D. Intambo yomgudu womnxeba > ischemic > syndrome. J Clin Neurosci. 2015; 22 (10): 1544-9.